END POINTS IN RESUSCITA TION OF SHOCK: UNDERST ANDING THE EVOLUTION

Authors

  • D S Timilsina Manipal Teaching Hospital, Fulbari, Pokhara
  • P C Majhi Manipal Teaching Hospital, Fulbari, Pokhara,
  • S N Bawa Manipal Teaching Hospital, Fulbari, Pokhara,

DOI:

https://doi.org/10.31729/jnma.594

Abstract

In the last two decades resuscitation strategies have gone through revolutionary changes. Ideas once held
sacred have been questioned and the very foundations on which these strategies were based shaken.
Resuscitation strategies basically revolve around three questions:
1. How much?
2. How fast?
3. When to stop?
Evolutions of shocked patient management concepts show three distinct phases.
• Phase 1 – Clinical parameter based.
• Phase 2 – Oxygen variables based.
• Phase 3 – Cellular perfusion based.
Accepted criteria for endpoints of resuscitation too have undergone similar changes in paradigm and can
be grouped under similar phases.

Key Words: Shock, Clinical parameter, cellular perfusion, resuscitation.

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Published

2004-03-01

How to Cite

Timilsina, D. S., Majhi, P. C., & Bawa, S. N. (2004). END POINTS IN RESUSCITA TION OF SHOCK: UNDERST ANDING THE EVOLUTION. Journal of Nepal Medical Association, 43(152), 111–114. https://doi.org/10.31729/jnma.594

Issue

Vol. 43 No. 152 (2004)

Section

Review Article

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